Evidence map›Paper›PMID 25627037›Full record

ArticleMalaria journal2015

Loop-mediated isothermal amplification (LAMP) for point-of-care detection of asymptomatic low-density malaria parasite carriers in Zanzibar.

Jackie Cook, Berit Aydin-Schmidt, Iveth J González, David Bell, Elin Edlund, Majda H Nassor, Mwinyi Msellem, Abdullah Ali, Ali K Abass, Andreas Mårtensson and 1 more

Registry-linked trialOpen access · goldAbstract readEvaluation Study
In one paragraph

Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03241901 ("Aiming at Prolonging the Therapeutic Life Span of Artemisinin-based Combination Therapies), which is not on this map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 pooled it
20.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03241901 phase4completednot on this mapstarted 2017, after this paper: background citation

"Aiming at Prolonging the Therapeutic Life Span of Artemisinin-based Combination Therapies (ACT) in an Era of Imminent Plasmodium Falciparum Resistance in Bagamoyo District, Tanzania - New Strategies With Old Tools"

TypeinterventionalSponsorMuhimbili University of Health and Allied SciencesRan2017 to 2018Enrolled280ConditionsMalaria,FalciparumArmsArtemether-Lumefantrine Tab 20-120mg, Primaquine Phosphate 0.25 mg/kg, Placebo
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 1 synthesis or guideline pooled it, 126 citations in OpenAlex.

  1. Pooled it
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  17. Rapid diagnosis ofFrontiers in cellular and infection microbiology · 2022
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 4 countries.

Jackie CookDepartment of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, SE-171 77, Sweden. Jackie.Cook@lshtm.ac.uk.
Berit Aydin-Schmidt
Iveth J González
David Bell
Elin Edlund
Majda H Nassor
Mwinyi Msellem
Abdullah Ali
Ali K Abass
Andreas Mårtensson
Anders Björkman
Karolinska Institutet · SEZanzibar University · TZFoundation for Innovative New Diagnostics · CHIntellectual Ventures (United States) · US

Funding

Medical Research Council MR/K012126/1
6 · The paper itself

Abstract

backgroundAsymptomatic, low parasite density malaria infections are difficult to detect with currently available point-of-care diagnostics. This study piloted a loop-mediated isothermal amplification (LAMP) kit for field-friendly, high-throughput detection of asymptomatic malaria infections during mass screening and treatment (MSAT) in Zanzibar, a malaria pre-elimination setting.

methodsScreening took place in three known hotspot areas prior to the short rains in November. Finger-prick blood was taken for screening by rapid diagnostic test (RDT) and LAMP and collected on filter paper for subsequent polymerase chain reaction (PCR) analyses. LAMP results were compared to RDT and to PCR using McNemar's test.

resultsApproximately 1,000 people were screened. RDT detected ten infections (1.0% (95% CI 0.3-1.6)) whilst both LAMP and PCR detected 18 (1.8% (95% CI 0.9-2.6)) infections. However, PCR identified three infections that LAMP did not detect and vice versa. LAMP testing was easy to scale-up in field conditions requiring minimal training and equipment, with results ready one to three hours after screening.

conclusionsDespite lower than expected prevalence, LAMP detected a higher number of infections than the currently used diagnostic, RDT. LAMP is a field-friendly, sensitive diagnostic test that could be useful for MSAT malaria campaigns which require quick results to enable prompt treatment.

Indexed as

Asymptomatic DiseasesPoint-of-Care SystemsAdolescentAdultAgedAged, 80 and overBloodChildChild, PreschoolFemaleHigh-Throughput Screening AssaysHumansInfantMalariaMaleMiddle Aged

Identifiers

PMID25627037
PMCPMC4318361
OpenAlexW2138505818

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.